HCA Healthcare Inc (0J1R.L) Q4 2024 Earnings Report

HCA Healthcare delivered a solid Q4 2024 performance with positive revenue momentum and substantial operating cash flow, underscoring the ongoing resilience of the US hospital network in a challenging reimbursement landscape. Revenue for the quarter was $18.285 billion, up 5.68% year-over-year and 4.56% quarter-over-quarter, while net income reached $1.438 billion and diluted EPS stood at $5.63-$5.70 depending on the metric. Despite a meaningful improvement in operating metrics on a sequential basis, gross profit margin remained modest at 15.56% (gross profit of $2.846 billion) and net profit margin stood at 7.86%. These figures reflect high fixed-cost structures, ongoing capex requirements, and a payer environment that continues to pressure margins.